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Packagemyhie.v4
Resource TypeQuestionnaire
Idq-hajj-ecaq.json
FHIR VersionR4

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Source1

{
  "resourceType": "Questionnaire",
  "id": "q-hajj-ecaq",
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-ecaq",
  "version": "1.0.0",
  "name": "QHajjEcaq",
  "title": "Elderly Cognitive Assessment Questionnaire (Please refer to score table)",
  "status": "active",
  "date": "2024-03-01T02:25:07.0445554+00:00",
  "item": [
    {
      "linkId": "1",
      "text": "I want you to remember this number. Can you repeat after me (eg: 2710) I shall be testing you again in 10 mins.",
      "type": "quantity"
    },
    {
      "linkId": "2",
      "text": "How old are you?",
      "type": "quantity"
    },
    {
      "linkId": "3",
      "text": "When is your birthday? Or in which year were you born?",
      "type": "quantity"
    },
    {
      "linkId": "4",
      "text": "What day of the week is today?",
      "type": "quantity"
    },
    {
      "linkId": "5",
      "text": "What is the date today?",
      "type": "quantity"
    },
    {
      "linkId": "6",
      "text": "What is the month today?",
      "type": "quantity"
    },
    {
      "linkId": "7",
      "text": "What is the year today?",
      "type": "string"
    },
    {
      "linkId": "8",
      "text": "What is this place called (eg. clinic, hospital)? Not Necessary to give name of place",
      "type": "quantity"
    },
    {
      "linkId": "9",
      "text": "What is his / her job (eg. nurse, doctor)?",
      "type": "quantity"
    },
    {
      "linkId": "10",
      "text": "Can you recall the number again?",
      "type": "quantity"
    },
    {
      "linkId": "11",
      "text": "Jumlah markah",
      "type": "quantity"
    },
    {
      "linkId": "12",
      "text": "Remarks",
      "type": "text"
    }
  ]
}